There is much to be done by nursing professionals to secure the futureof pediatric palliative care programs .Many barriers exist that must be overcome to further research that will provide evidence based practices geared to ward the specific needs of children. The first task is to increase awarenes of pediatric palliative care programs and the special needs of nurses who care for dying children. Further research studies are needed to explore strategies to decrease work related stress in nurses caring for dying children. Another beneficial study couldinvolve clearly identifying the role ofthe APN in pediatric palliative carep rograms and establishing protocols for staff development. These studies may also discover other in novative ways to increase satisfaction of patients, family members, and nurses over all